老年卧床不起患者焦虑抑郁情绪的调查分析

Surveys on anxiety and depression in bedridden elderly patients

目的探讨老年卧床不起患者焦虑抑郁情绪的临床特点。方法对卧床不起老年患者94例和非卧床不起老年患者121例,采用自制结构式问卷进行心理健康状况的调查。调查内容包括:自拟个人基本情况调查表、焦虑自评量表、老年抑郁量表。结果病例组焦虑总标准分(51.87±8.31)、抑郁总分(12.53±6.28)均显著高于对照组(40.55±10.06和7.05±4.71,P<0.01);病例组SAS量表显示的20项症状中最常见的8项症状依次为:睡眠障碍、不幸预测、乏力、尿频、静坐不能、呼吸困难、多汗、焦虑;两组GDS量表的烦躁不安、退缩/冷漠/活力、绝望、忧虑、激惹、认知损害等6项因子分均差异有统计学意义(P<0.05)。结论老年卧床不起患者伴发焦虑、抑郁负性情绪多见,症状多不典型。

Objective To explore the clinical characters of anxiey and depression in bedridden elderly patients. Methods 94 bedridden and 121 non-bedridden elderly patients were assessed by the self-designed general questionnaire, the Self-rating Anxiety Scale and the Geriatric Depression Scale. Results The total scores of anxiety and depression in bedridden elderly patients were 51.87 ± 8.31andl2.53 ± 6.28,which were higher than those in control（40.55 ± 10.06 and 7.05 ±4.71 ,P 〈0.01 ） ;The 8 common symptoms of SAS in bedridden elderly patients were dyssomnia.unfortunate anticipation.fatigue.urinary frequency.acathisia.dyspnoea.sweating and anxiety;The six factor scores （ dysphoric mood, withdrawal-apathy-vigor, hopelessnss, agitation, worry, cognitive impairment ） of GDS were significantly different between two groups （ P 〈 0.05 ）. Conclusion It is concluded that anxiety and depression are commonly seen in bedridden elderly patients and the symptoms are seldom typical.